MINISTRY OF LABOR – INVALIDS AND SOCIAL AFFAIRS --------	SOCIALIST REPUBLIC OF VIETNAM Independence – Freedom – Happiness ---------------
No. 07/2014/TT-BLDTBXH	Hanoi, 06 March 2014

 

CIRCULAR

ON THE ISSUANCE OF 27 TECHNICAL SAFETY INSPECTION PROCEDURES FOR MACHINERY AND EQUIPMENT SUBJECT TO STRICT WORK SAFETY REQUIREMENTS UNDER THE MANAGEMENT OF THE MINISTRY OF LABOR - INVALIDS AND SOCIAL AFFAIRS

Pursuant to the Government’s Decree No. 106/2012/ND-CP dated 20 December 2012 on the functions, missions, authority and organizational structure of the Ministry of Labor - Invalids and Social affairs;

Pursuant to the Government’s Decree No. 45/2013/ND-CP on the details of certain articles of the Labor Code, which stipulate work time, rest time, work safety and hygiene;

At the request of the Head of the Department of Work safety;

Minister of Labor - Invalids and Social affairs issues the Circular on 27 technical safety inspection procedures for machinery and equipment subject to strict work safety requirements under the management of the Ministry of Labor - Invalids and Social affairs.

Article 1. Scope of regulation

This Circular is enclosed with 27 technical safety inspection procedures for machinery and equipment subject to strict work safety requirements under the management of the Ministry of Labor - Invalids and Social affairs. Names and codes of the procedures are defined in Appendices of this Circular.

Article 2. Effect

1. This Circular comes into force as of 01 May 2014.

2. Decision No. 66/2008/QD-BLDTBXH dated 29 December 2008 on technical safety inspection procedures for lifting equipment, elevator and escalator; Decision No. 67/2008/QD-BLDTBXH dated 29 December 2008 on technical safety inspection procedures for boiler, pressure vessel, refrigerant system, gas preparation and loading system, gas cylinder, steam pipe and hot water pipe; Circular No. 01/2010/TT-BLDTBXH dated 12 January 2010 on technical safety inspection procedures for passenger cableway, roller coaster and slides shall lose effect when this Circular comes into force.

Article 3. Enforcement

Department of Work safety, Ministry of Labor - Invalids and Social affairs, technical work safety inspection organizations and entities concerned are responsible for enforcing this Circular. Difficulties that arise during the implementation of this Circular shall be reported to the Ministry of Labor - Invalids and Social affairs for consideration and settlement./.

 

PP MINISTER DEPUTY MINISTER Bui Hong Linh

 

Inspection procedure 1

APPENDIX 01

FIELD DATA ACQUISITION FORM (TECHNICAL SAFETY INSPECTION FOR OVERHEAD LIFTING EQUIPMENT)

......, …, date: ... ... ...

 

FIELD DATA ACQUISITION FORM

(Record of full parameters for inspection and test as per the inspection procedure)

1. General information

Name of the equipment:

Name of the requester:

Address (head office):

Address (location) of equipment installation:

Details of the work session:

- Participants: (details)

- Witness:

2. Basic parameters of the equipment:

- Code: …………	- Trolley speed: … meter/ minute
- Production number: …	- Bridge speed : … meter/ minute
- Year of production: …	- Aperture, cantilever: ... m
- Manufacturer: ...	- Height of lift (main and auxiliary hooks): … m
- Intended load capacity: … ton	- Load capacity at cantilever’s end : … ton
- Lifting speed: … meter/ minute	- Function: …

3. Inspection of documents:

- Profile of the equipment:

- Technical documents:

4. Measurement device identification code:

5. Equipment inspection:

a) External inspection:

+ Metal structure

+ Hook block, sheave: …

+ Rope and rope fixation: …

+ Protective ground connection:

+ Rail, rail fixation:

+ Brake: ...

+ Safety instruments:

b) Technical inspection:

- 125% overload test (10-minute hold):

+ Brake: ...

+ Metal structure: …

- 110% dynamic load test:

+ Brake (load holding)

+ Constituents or parts:

+ Metal structure:

6. Inspection of limiters, load indicator, overload indicator.

7. Processing of findings of the inspection.

8. Recommendation: (if any)

 

INSPECTOR (sign and append full name)

 

APPENDIX 02

RECORD OF TECHNICAL SAFETY INSPECTION FOR OVERHEAD LIFTING EQUIPMENT

(Superior organization) (Name of the inspection organization)	SOCIALIST REPUBLIC OF VIETNAM Independence – Freedom - Happiness
	.........… date: ... ... ...

 

RECORD OF TECHNICAL SAFETY INSPECTION
(FOR OVERHEAD LIFTING EQUIPMENT)

No. …

The participants include:

1………Inspector’s number: ………

1………Inspector’s number: ………

Inspection organization: ………

Inspection organization’s registered certificate number: ………

Name of the equipment inspected: ………

Name of the requester:

Address (head office):

Address (location) of equipment installation:

Inspection procedure and standards applied: ………

Individuals witnessing and ratifying the record: ………

1......................................................                Position: ………

2......................................................                Position: ………

I. BASIC PARAMETERS OF THE EQUIPMENT

- Code: …………                                       - Trolley speed: … meter/ minute

- Production number: …                             - Bridge speed: … meter/ minute

- Year of production: …                             - Aperture, cantilever: ... m

- Manufacturer: ...                                      -  Height of lift (main and auxiliary hooks): … m

- Intended load capacity: … ton                      - Load capacity at cantilever's end: … ton

- Lifting speed: ... meter/ minute                           - Function: ...

II. FORM OF INSPECTION

First time □                          Periodic □                            Random □

III. DETAILS OF INSPECTION:

A. Inspection of technical documents:

- Remark: ………

- Assessment of findings:

No.	Item	Pass	Fail	Note
1	Profile

B. External inspection and no-load test

- Remark: ………

- Assessment of findings:

No.	Constituent	Pass	Fail	Note
1	Main and auxiliary hooks
2	Pulley block
3	Main lift rope
4	Auxiliary lift rope
5	Main lift brake
6	Auxiliary lift brake
7	Trolley brake
8	Rail, rail gauge
9	Metal structure of main girders; attachments to the building
10	Hoist motor frame
11	Hoist motor brake
12	Main lifting mechanism
13	Auxiliary lifting mechanism
14	Trolley motion mechanism
15	Hoist motor motion mechanism
16	Rail clip
17	Siren (buzzer)
18	Height limit switch
19	Trolley motion controller
20	Electrical system
21	Control system
22	Hoist motor motion controller

C. Load test

- Remark: ………

- Assessment of findings:

No.	Load positions and findings	Pass	Fail	Equivalent load (ton)	Static load test (ton)	Dynamic load test (ton)
1	Mid-aperture
2	At cantilever’s end
3	Stability

 

No.	Assessment of findings	Pass	Fail	Note
1	Metal structure:
2	Control system
3	Overload prevention device
4	Lifting rope
5	Lift brake
6	Trolley brake
7	Hoist motor brake

IV. CONCLUSION AND RECOMMENDATION

1. The equipment inspected is: Qualified □                                    Unqualified □

to operate with the maximum load of … ton

2. Inspection stamp n^o … Stamp position: ...

3. Recommendation:

Time limit for implementation of recommendations: …

V. INSPECTION SCHEDULE

The following inspection shall be scheduled for ... [date]

Reason for early inspection schedule (if applicable): …

The record was ratified on … [date]

At: …

The record is made into ... originals. Each party keep ... original(s)

The inspectors assume all liabilities for the accuracy of remark and assessments in this record./.

 

EQUIPMENT USER (Sign and append corporate seal) (Undertaking to fulfill recommendations in timely manner)

WITNESS (Sign and append full name)

INSPECTOR (Sign and append full name)

 

Inspection procedure 3

APPENDIX 01

FIELD DATA ACQUISITION FORM (TECHNICAL SAFETY INSPECTION FOR ELECTRIC ELEVATOR)

......, …, date: ... ... ...

 

FIELD DATA ACQUISITION FORM

(Record of full parameters for inspection and test as per the inspection procedure)

1. General information

Name of the equipment:

Name of the requester:

Address (head office):

Address (location) of equipment installation:

Details of the work session:

- Participants: (details)

- Witness:

2. Basic parameters of the equipment:

Code:	Year of production:	Rated speed:
Quantity of stops:	Production number:	Rated load:

Manufacturer:

3. Inspection of documents:

- Profile of the equipment:

- Technical documents:

4. Measurement device identification code:

5. a) External inspection:

- Insulation resistance:

- Machine room:

- Motor parameters:

Capacity	Year of production:	Rated current:
Code:	Serial number:	Voltage:
Manufacturer:	Rotary speed:

- Inspection of hoist rope and counterweight:

- Inspection of roller guides:

6. Dimensions and distance (mm):

- Elevator pit:

- Distance from the pit’s bottom to buffer’s tip upon full compression:

- Distance from counterweight’s bottom to the buffer’s tip upon full compression:

- Distance from the pit’s bottom to the car’s lowest position:

- Distance from the car's roof to the head room's lowest position:

- Distance from the entrance door’s threshold to the car’s doorstep:

- Distance from the counterweight to the car:

7. Technical inspection:

- Empty load test:

- 100% load test;                           + Motor’s electric current:

                                                + Speed:

                                                + Maximum floor arrival precision deviation:

- 125% load test:                           + Electromagnetic brake:

                                                + Safety gear:

                                                + Push pull test:

- + Automatic rescue device test:

- Overload prevention device:

- Test of elevator operation upon fire or earthquake (if applicable):

8. Recommendation: (if any)

 

INSPECTOR (Sign and append full name)

 

APPENDIX 02

RECORD OF TECHNICAL SAFETY INSPECTION FOR ELECTRIC ELEVATOR

(Superior organization) (Name of the inspection organization)	SOCIALIST REPUBLIC OF VIETNAM Independence – Freedom - Happiness
	............ ... ..., date ... ... ... ...

 

RECORD OF TECHNICAL SAFETY INSPECTION
(FOR ELECTRIC ELEVATOR)

No. …

The participants include:

1………Inspector’s number: ………

1………Inspector’s number: ………

Inspection organization: ………

Inspection organization’s registered certificate number: ………

Name of the equipment inspected: ………

Name of the requester:

Address (head office):

Address (location) of equipment installation:

Inspection procedure and standards applied: ………

Individuals witnessing and ratifying the record: ………

1...................................................                   Position: ………

2...................................................                   Position: ………

I. PARAMETERS OF THE ELEVATOR

Elevator type:	Year of production:	Rated speed (meter/ minute):
Code:	Production number:	Rated load (Kg):
Manufacturer:	Quantity of stops:	Purpose of use:

II. FORM OF INSPECTION

First time □                                                   Periodic □                         Random □

III. DETAILS OF INSPECTION:

1. DOCUMENT INSPECTION:

- Remark: ………

- Assessment of findings:

No.	ITEM	PASS	FAIL	NOTE
1 2	Profile Technical documents:

2. EXTERNAL INSPECTION:

- Remark: ………

Elevator completeness and synchronization: …

Defects and deformation: …

- Assessment of findings: Pass □                                  Fail □

3. TECHNICAL INSPECTION AND EMPTY LOAD TEST:

- Remark: ………

- Assessment of findings:

No.	ITEM	PASS	FAIL	NOTE
1	Elevator pit
2	Machine room
3	Motor
4	Gearbox
5	Electromagnetic brake
6	Roller guide
7	Overspeed governor
8	Suspension rope
9	Sheaves
10	Car
11	Counterweight
12	Buffer
13	Safety gear
14	Electrical system
15	Final terminal limit protection
16	Entrance door - door control
17	Distance from the pit’s bottom to car's lowest position:
18	Distance from the car’s roof to the head room’s lowest position
19	Distance from the entrance door’s threshold to car’s doorstep:

4. DYNAMIC TEST OF 100% RATED LOAD:

- Remark: ………

- Assessment of findings:
+ Car speed:	Result:	Pass	□	Fail	□
+ Electric current in the motor:	Result:	Pass	□	Fail	□
+ Maximum floor arrival precision deviation:	Result:	Pass	□	Fail	□

+ Instantaneous safety gear with or without buffered effect:

Result:                                       Pass □                Fail □

5. DYNAMIC TEST OF 125% RATED LOAD:

- Remark: ………

- Assessment of findings:
+ Electromagnetic brake	Result:	Pass	□	Fail	□
+ Progressive safety gear	Result:	Pass	□	Fail	□
+ Push pull test:	Result:	Pass	□	Fail	□
6. RESCUE SYSTEM TEST:

- Remark: ………

- Assessment of findings:

+ Automatic rescue device (if available)    Result:                       Pass □            Fail □

+ Communications system (bell, emergency phone)

                                                            Result:                       Pass □            Fail □

IV. CONCLUSION AND RECOMMENDATION

1. The elevator inspected is:                      Qualified □            Unqualified □

to operate with the maximum load of … (kg)2. Inspection stamp n^o … appended at …

3. Other recommendations (if any): …

Time limit for implementation of recommendations: …

V. INSPECTION SCHEDULE

The following inspection shall be scheduled for ... [date]

Reason for early inspection schedule (if applicable): …

The record was ratified on … [date]

At: …

The record is made into ... originals. Each party keep ... original(s)

The inspectors conducting the inspection of the elevator assume all liabilities for the accuracy of remarks and assessments in this record./.

 

EQUIPMENT USER (Sign and append corporate seal) (Undertaking to fulfill recommendations in timely manner)

WITNESS (Sign and append full name)

INSPECTOR (Sign and append full name)

 

Inspection procedure 08

APPENDIX 1

FIELD DATA ACQUISITION FORM (TECHNICAL SAFETY INSPECTION FOR INDUSTRIAL GAS CYLINDERS)

......, …, date: ... ... ...

 

FIELD DATA ACQUISITION FORM

(Record of full parameters for inspection and test as per the inspection procedure)

Inspection schedule: First time □;          Periodic □;                   Random □

User

Production number, batch number:                                                         (1)

Month and year of production:                                                                (2)

Type of cylinder (by volume):                                            Hydraulic test pressure (Bar):

                                                                                    Tightness test pressure (Bar):

Inspector	Signature	Performer of visual inspection	Signature
Performer of hydraulic test	Signature	Performer of tightness test	Signature

Weight (kg)                                                                                       Result of inspection

	Code	Production number	Month and year of production	Manufacturer	Weight (kg)		Result of inspection
					On label	Actual	Pass	Early inspection schedule (specify reasons)	Fail (specify reasons)
1								(3)
2									(4)
3
4
5

· (1), (2) for cylinders inspected for the first time.

· (3) for example: 02 years due to cylinders’ containment of gases corroding metal or posing hazards

· (4) for example: cylinders failed due to damaged cylinder neck thread

 

INSPECTOR (Sign and append full name)

 

APPENDIX 2

RECORD OF TECHNICAL SAFETY INSPECTION FOR INDUSTRIAL GAS CYLINDERS

(Superior organization) (Name of the inspection organization)	SOCIALIST REPUBLIC OF VIETNAM Independence – Freedom - Happiness
	................. ... ..., date ... ... ... ...

 

RECORD OF TECHNICAL SAFETY INSPECTION
(FOR INDUSTRIAL GAS CYLINDERS)

The participants include:

1………Inspector’s number: ………

2………Inspector’s number: ………

Inspection organization: …

Inspection organization’s registered certificate number: ………

Having inspected: …

Under ownership of (name of the organization):

Address (head office): …

Location of inspection: …

Inspection procedures applied: ………

Individuals witnessing and ratifying the record: ………

1.......................................................... Position:................................................

2.......................................................... Position:................................................

I. BASIC PARAMETERS OF CYLINDERS

Name and address of the manufacturer: …

Month and year of production: …

Batch number: …

Quantity and list of sample cylinders inspected: …

The brand name embossed on cylinders: …

Intended pressure:........................... bar          Test pressure:.........................................bar

Volume: … liters                               Tare weight: … kg

Function: …

Previous date of inspection: … By: …

II. FORM OF INSPECTION

First time □;                             Periodic □;                         Random □

III. DETAILS OF INSPECTION:

1. Inspection of documents and profile:

Item	Pass	Fail	Item	Pass	Fail
Cylinder batch list			Result of cylinder batch inspection
Result of strength and tightness tests:			Result of volumetric expansion test
Result of tests on materials’ mechanical properties and welds			Record of explosion test
Result of thickness test			Result of ultrasonic test of welds
Result of analysis of materials’ mechanical and chemical properties			Cylinder batch’s profile
Documents on usage, inspection and other details of the cylinders			Other papers

Assessment of findings:

- Remark: ………

- Result: Pass □                                  Fail □

2. External and internal inspection:

Item	Pass	Fail:	Item	Pass	Fail
Conditions of cylinder shroud			Conditions of external metal surface
Conditions of cylinder foot			Conditions of internal metal surface
Cylinder valve:			Weld surface conditions

- Remark: ………

- Result:                                    Pass □                          Fail □

3. Test:

Entry	Reagent	Test pressure (bar):	Duration (minute)
Strength test
Volumetric expansion test
Tightness test

- Remark: ………

- Result:                                    Pass □                          Fail □

IV. CONCLUSION AND RECOMMENDATION

1. The batch (specify the quantity of cylinders) inspected is:   Qualified □                     Unqualified □

2. Inspection mark has been appended on: …

3. Operational pressure: … bar

4. Recommendation:

5. Time limit for implementation of recommendations: …

V. INSPECTION SCHEDULE

Periodic inspection shall be scheduled for ... [date]

The record was made on … [date]

At: (Specify the location of inspection)

The inspectors conducting the inspection assume all liabilities for the accuracy of remarks and assessments in this record./.

1. For the inspection done at the inspection organization’s station:

 

HEAD OF THE STATION (sign and append full name)

INSPECTOR (Sign and append full name)

TECHNICIAN (Sign and append full name)

2. For the inspection done at the concerned organization’s premises:

HEAD OF THE ORGANIZATION (sign and seal)

WITNESS (Sign and append full name)

INSPECTOR (Sign and append full name)

 

APPENDIX 3

LIST OF SAMPLE CYLINDERS INSPECTED

Cylinder batch:

Quantity of cylinders:

Production number: from … to…

User (manager):

(Enclosed with the record or certificate of registration n^o …dated …),

No.	Production number	Month and year of production	Manufacturer	Weight (kg)	Result:
					Pass	Fail (specify reasons)
1
2
...

 

LIST OF CYLINDERS EXCLUDED (OR LIST OF CYLINDER BATCHES)

Cylinder batch:

Quantity of cylinders excluded:

User (manager):

No.	Production number	No.	Production number	No.	Production number	No.	Production number
1
2
...

Note:

+ Draw up the “LIST OF CYLINDERS EXCLUDED” for the cylinder batch with continuous production numbers or with few cylinders excluded (for the manufacturer’s test of mechanical properties, destructive test, etc.) or draw up the “LIST OF CYLINDER BATCHES” and specify the full amount of cylinders in the batch for the cylinder batch with interrupted production numbers. + This list may not be required if there are only a few cylinders to be directly enumerated in the record.

Notice: This list must not be modified. The list must be stamped on its corner or fan stamped.

 

LIST OF CYLINDER BATCHES INSPECTED

Cylinder batch:

Quantity of cylinders:

Production number: from … to …

User (manager):

(Enclosed with the record or certificate of registration n^o … dated …)

No.	Production number	Month and year of production	Manufacturer	Weight (kg)	Result:
					Pass	Fail (specify reasons)
1
2
...

 

Inspection procedure 19

APPENDIX 1

FIELD DATA ACQUISITION FORM (FOR MOBILE CRANE)

......, …, date: ... ... ...

 

FIELD DATA ACQUISITION FORM

(Record of full parameters for inspection and test as per the inspection procedure)

1. General information

Name of the equipment:

Name of the requester: …

Address (head office): …

Address (location) of equipment installation:

Details of the work session:

- Participants: (details)

- Witness:

2. Basic parameters of the equipment:

- Code: …	- Rotary speed: … rotation/ minute
- Production number: …	- Travelling speed (for self-propelled ones): … meter/ minute
- Year of production: …	- Working radius (max): … meter
- Manufacturer: …	- Lifting height (main and auxiliary hooks): … meter
- Intended load (max): … ton	- Load at maximum radius: … ton
- Lifting speed: … m/ minute	- Function: …

3. Inspection of documents:

- Profile of the equipment:

- Technical documents:

4. Measurement device identification code:

5. Inspection of the equipment:

a) External inspection:

- Metal structure:

- Load block, sheave: …

- + Rope and rope fixation: …

- Hydraulic system, piston, cylinder:

- Brake:

- Counterweight: …

- Safety devices:

b) Technical inspection:

- Test at 125% rated load (10-minute hold):

- Brake:

- + Metal structure:

- Dynamic test at 110% rated load:

- + Brake (load holding)

- Constituents or parts:

- Metal structure:

6. Inspection of limiters, load indicator, overload indicator.

7. Processing and assessment of findings of the inspection.

8. Recommendation: (if any)

 

INSPECTOR (Sign and append full name)

 

APPENDIX 2

RECORD OF TECHNICAL SAFETY INSPECTION

(FOR MOBILE CRANE)

(Superior organization) (Name of the inspection organization)	SOCIALIST REPUBLIC OF VIETNAM Independence – Freedom - Happiness
	................. ... ..., date ... ... ... ...

 

RECORD OF TECHNICAL SAFETY INSPECTION
(FOR MOBILE CRANE)

No. …

The participants include:

1. Inspector’s number:

2. Inspector’s number:

Inspection organization: ………

Inspection organization’s registered certificate number: ………

Name of the equipment inspected: ………

Name of the requester:

Address (head office): …

Address (location) of equipment installation:

Inspection procedure and standards applied: ………

Individuals witnessing and ratifying the record: ………

1. ...................................... Position:..................................

2. ...................................... Position:..................................

I. BASIC PARAMETERS OF THE EQUIPMENT

- Code: …	- Rotary speed: … rotation/ minute
- Production number: …	- Travelling speed (for self-propelled ones): … meters/ minute
- Production number: …	- Actual / intended radius: … meter
- Manufacturer: …	- Actual / intended lifting height (main and auxiliary hooks): … meter
- Intended load (max): … ton	- Load at maximum actual / intended radius: … ton
- Lifting speed: … meter/ minute	- Function: …

II. FORM OF INSPECTION

First time □,                             periodic □,                   random □

III. DETAILS OF INSPECTION:

A. Document inspection:

No.	Entry	Pass	Fail	Note		No.	Entry
1	Profile					2	Number plate	………….

B. External inspection and no-load test:

No.	Constituents and parts	Pass	Fail	Note
1	Main and auxiliary hooks
2	Pulley block
3	Main lifting rope
4	Auxiliary lifting rope
5	Boom bearing
6	Boom guy line
7	Main lifting part
8	Wind speed indicator
9	Height limiter
10	Boom angle limiter
11	Counterweight
12	Travel drive part
13	Main lift brake
14	Travel brake
15	Auxiliary lifting part
16	Boom lifting part
17	Boom extension part
18	Outrigger (chain)
19	Siren and buzzer
20	Metal structure and boom
21	Hoist motor frame
22	Auxiliary lift brake
23	Boom lift brake
24	Indicators of radius and equivalent load
25	Control system
26	Hydraulic system
27	Rotating part
28	Brake for rotating part

C. Load test

No.	Load positions and findings	Pass	Fail	Radius (m)		Equivalent load (ton)	Static load test (ton)	Dynamic load test (ton)
1	Minimum radius			R =
2	Maximum radius			R =
3	Auxiliary hook
4	Main boom length
5	Stability

 

No.	Assessment of findings	Pass	Fail	Note
1	Metal structure:
2	Load lift brake
3	Boom lift brake
4	Overload prevention device (if available)
5	Lift rope
6	Brake for rotating part
7	Travel brake
8	Outrigger (chain)
9	Hydraulic system
10	Control system

IV. CONCLUSION AND RECOMMENDATION

1. The equipment inspected is: Qualified □                                   Unqualified □

2. Inspection stamp n^o … affixed at …

3. The equipment is functionally qualified for the maximum load of … ton at an equivalent radius of … meter

4. Recommendations:

Time limit for implementation of recommendations: …

V. INSPECTION SCHEDULE

Periodic inspection:           …. [date]

Reason for early inspection schedule (if applicable): …

The record was ratified on … [date]

At: …

The record is made into ... originals. Each party keep ... original(s)

The inspectors conducting the inspection assume all liabilities for the accuracy of remarks and assessments in this record./.

 

HEAD OF THE CONCERNED PARTY Undertakes to fulfill recommendations promptly (Sign and seal)

WITNESS (Sign and affix full name)

INSPECTOR (Sign and affix full name)

 

Inspection procedure 21

APPENDIX 1

FIELD DATA ACQUISITION FORM
(FOR FORKLIFT)

......, ... ... ..., date ... ... ... ...

 

FIELD DATA ACQUISITION FORM

(Record of full parameters for inspection and test as per the inspection procedure)

1. General information

Name of the equipment:

Name of the requester:

Address (head office): …

Address (location) of equipment installation:

Details of the work session:

- Participants: (details)

- Witness:

2. Basic parameters of the equipment:

- Code: …………                                   - Fork size: … mm

Production number: …                           - Lift height: … mm

- Year of production: …                         - Lift speed: … meter/ minute

- Manufacturer: ...                                  - Travel speed: … kilometer/ hour

- Power source: …                                 - Load center distance at maximum load: … mm

- Working / intended load: … / … kg                   - Function: …

3. Inspection of documents:

- Profile of the equipment:

- Technical documents:

4. Measurement device identification code:

5. Inspection of the equipment:

a) External inspection and no-load test:

- Fork: …

- Carriage: …

- Lift cylinder: …

- Tilt cylinder: …

- Load bearing cylinder: …

- Counterweight: …

- Overhead guard: …

- Signs that indicate radius and equivalent load: …

- System for signaling, observation, lighting: …

- Travel system: …

- Brake system: …

- Safety devices: …

b) Technical inspection:

- Test at 125% rated load (10-minute hold):

+ Brake: …

+ Metal structure: …

- Dynamic test at 110% rated load:

+ Brake (load holding)

+ Constituents and parts:

+ Metal structure:

7. Processing and assessment of findings of the inspection.

8. Recommendation: (if any)

 

INSPECTOR (Sign and affix full name)

 

APPENDIX 2

RECORD OF TECHNICAL SAFETY INSPECTION
(FOR FORKLIFT)

(Superior organization) (Name of the inspection organization)	SOCIALIST REPUBLIC OF VIETNAM Independence – Freedom - Happiness
	..............…, date … … …

 

RECORD OF TECHNICAL SAFETY INSPECTION
(FOR FORKLIFT)

No. …

The participants include:

1. Inspector’s number: …

2. Inspector’s number: …

Inspection organization: ………

Inspection organization’s registered certificate number: ………

Name of the equipment inspected: ………

Name of the requester:

Address (head office): …

Address (location) of equipment installation:

Inspection procedure and standards applied: ………

Individuals witnessing and ratifying the record: ………

1. ...................................... Position:..................................

2. ...................................... Position:..................................

I. BASIC PARAMETERS OF THE EQUIPMENT

- Type and code: …                               - Fork size: … mm

- Production number: …                         - Lift height: … mm

- Year of production: …                         - Lift speed: … meter/ minute

- Manufacturer: ...                                  - Travel speed: … kilometer/ hour

- Power source: …                                 - Load center distance at maximum load: … mm

- Working / intended load: … /… kg- Function: …

II. FORM OF INSPECTION

First time □,                             periodic □,                   random □

III. DETAILS OF INSPECTION:

A. Inspection of technical documents:

No.	Entry	Pass	Fail	Note
1	Profile of the equipment:
2

B. External inspection and no-load test:

No.	Constituents and parts	Pass	Fail	Note
1	Load bearing
2	Carriage
3	Lift cylinder
4	Tilt cylinder
5	Load bearing cylinder
6	Counterweight
7	Overhead guard
8	Indicators of radius and equivalent load
9	Overload prevention device
10	Hydraulic system
11	Control system
12	System for signaling, observation, lighting: …
13	Motion-driving system
14	Travel system: …
15	Brake system
16	Lift height limiter
17	Tilting angle limiter

C. Load test

No.	Load positions and findings	Pass	Fail		Static load test (ton)	Dynamic load test (ton)
1	On the fork
2	Stability

 

No.	Assessment of findings	Pass	Fail	Note
1	Load bearing and carriage
2	System for signaling, observation and lighting
3	Overload prevention device
4	Travel system
5	Hydraulic system
6	Brake system
7	Motion-driving system

IV. CONCLUSION AND RECOMMENDATION

1. The equipment inspected is:  Qualified □                   Unqualified □

to operate at the maximum load of … ton, with the equivalent load center distance of … mm

2. Inspection stamp n^o …was affixed at … of the forklift3. Recommendations:

Time limit for implementation of recommendations: …

V. INSPECTION SCHEDULE

The following inspection shall be scheduled for … [date]

Reason for early inspection schedule (if applicable): …

The record was ratified on … [date] at: …

The record is made into ... originals. Each party keep ... original(s)

The inspectors conducting the inspection assume all liabilities for the accuracy of remarks and assessments in this record./.

 

HEAD OF THE CONCERNED PARTY Undertakes to fulfill recommendations promptly (Sign and seal)

WITNESS (Sign and affix full name)

INSPECTOR (Sign and affix full name)

 

Inspection procedure 23

APPENDIX 1

FIELD DATA ACQUISITION FORM
(FOR GOODS LIFT WITH ATTENDANTS)

......, …,date ... ... ...

 

FIELD DATA ACQUISITION FORM

(Record of full parameters for inspection and test as per the inspection procedure)

1. General information

Name of the equipment:

Name of the requester:

Address (head office): …

Address (location) of equipment installation:

Details of the work session:

- Participants: (details)

- Witness:

2. Basic parameters of the equipment:

- Type and code:	................	- Intended load:	.........… ton
- Production number:	................	- Lift speed:	.........… meter / minute
- Year of production:	................	- Lift height:	........................	meter
- Manufacturer:	................	- Function:	..............................

3. Inspection of documents:

- Profile of the equipment:

- Technical documents:

- Inspection of design documents and foundation completion papers

- Data from the measurement of anti-lightning and ground wiring systems: …

4. Measurement device identification code:

5. Inspection of the equipment:

a) External inspection:

+ Inspection of the equipment’s location, electrical system, internal written guidelines on usage, protective fences, ground area, distance and safety measures.

+ Pillar platform structure:

+ Car buffer must be fully and firmly installed (according to design documents).

+ Barriers covering the equipment:

+ Entrance doors that the lift reaches:

+ Pillar body:

+ Car (cage):

+ Motion-driving part for the cage:

+ Fall protection unit:

+ Counterweight

+ Ground wiring unit:

+ Inspection of anti-lightning system:

+ Safety devices:

+ Brakes, electric motor, hydraulic drive system:

b) Technical inspection:

- Test at 125% rated load (10-minute hold):

+ Brake:

+ Metal structure: …

- Dynamic test at 110% rated load:

+ Brake (load holding)

+ Constituents and parts:

+ Metal structure:

c) Inspection of fall protection unit:

6. Inspection of limiters, load indicator, overload indicator.

7. Processing and assessment of findings of the inspection.

8. Recommendation (if any):

 

INSPECTOR (Sign and affix full name)

 

APPENDIX 2

RECORD OF TECHNICAL SAFETY INSPECTION
(FOR GOODS LIFT WITH ATTENDANTS)

(Superior organization) (Name of the inspection organization)	SOCIALIST REPUBLIC OF VIETNAM Independence – Freedom - Happiness
	..............…, date … … …

 

RECORD OF TECHNICAL SAFETY INSPECTION
(FOR GOODS LIFT WITH ATTENDANTS)

No. …

The participants include:

1. … Inspector’s number: ….

2. … Inspector’s number: ….

Inspection organization: ………

Inspection organization’s registered certificate number: ………

Name of the equipment inspected: ………

Name of the requester:

Address (head office): …

Address (location) of equipment installation:

Inspection procedure and standards applied: ………

Individuals witnessing and ratifying the record: ………

1. ...................................... Position:..................................

2. ...................................... Position:..................................

I. BASIC PARAMETERS OF THE EQUIPMENT

- Type and code:	....................	- Intended load:	.....................	ton
- Production number:	....................	- Lift speed:	......................	meter/minute
- Year of production:	....................	- Lift height:	......................	meter
- Manufacturer:	....................	- Function:	...........................

II. FORM OF INSPECTION

First time □,     Periodic □,      Random □

III. DETAILS OF INSPECTION:

A. Inspection of technical documents:

No.	Item	Pass	Fail	Note
1	Profile
	Ground foundation papers

B. External inspection and no-load test

No.	Constituents and parts	Pass	Fail	Note
1	Car
2	Gear box
3	Rack and pinion
4	Pillar’s metal structure
5	Anchored tie
6	Final terminal limit protection
7	Erection part
8	Load lifting part
9	Lift brake
10	Fall protection brake
11	Platform frame (buffer)
12	Siren and buzzer
13	Ground wiring
14	Anti-lightning
15	Safety barrier
16	Control system

C. Load test (Upon inspection, the car lift height H = … meter)

Load positions and equivalent load test

No.	Load position	Pass	Fail	Equivalent load (ton)	Static load test (ton)	Dynamic load test (ton)
1	Inside the car
2	Stability

 

No.	Load test result	Pass	Fail	Note
1	Pillar’s metal structure
2	Car structure
3	Lift brake
4	Gear box
5	Rack and pinion
6	Control system
7	Fall protection brake
8	Anchored tie
9	Overload indicator

IV. CONCLUSION AND RECOMMENDATION

1. The equipment inspected is: Qualified □       Unqualified □ to operate at the maximum load of … kg.

2. Inspection stamp n^o …was affixed at … 3. Recommendations:

Time limit for implementation of recommendations: …

V. INSPECTION SCHEDULE

The following inspection shall be scheduled for … [date]

Reason for early inspection schedule (if applicable): …

The record was ratified on … [date]

At: …

The record is made into ... originals. Each party keep ... original(s)

The inspectors conducting the inspection assume all liabilities for the accuracy of remarks and assessments in this record./.

 

HEAD OF THE CONCERNED PARTY Undertakes to fulfill recommendations promptly (Sign and seal)

WITNESS (Sign and affix full name)

INSPECTOR (Sign and affix full name)